Individual
TIMOTHY WILLIAM SCHACKER
Active
Individual
TIMOTHY WILLIAM SCHACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012177
PREFERRED ONE
MN
05
—
102020000
—
MN
01
—
115288
UCARE
MN
01
—
34Y72SC
BLUE CROSS BLUE SHIELD
MN
01
—
603758
ARAZ
MN
01
—
92-00024
MEDICA CHOICE
MN
01
—
92-70159
MEDICA PRIMARY
MN
01
—
HP22105
HEALTH PARTNERS
FM
Enumeration date
10/20/2006
Last updated
07/08/2007
Update your record
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